夫五脏皆有上气喘咳,但肺为五脏华盖,百脉取气于肺,喘既动气,故以肺为主,病者
右手寸口气口以前脉阴实者,手太阴经肺实也。肺必胀,上气喘逆,咽中塞,如与呕状,自
汗,皆肺实证;若气口以前脉虚者,必咽干无津,少气不足以息,此乃肺虚气乏也。
治上气喘满,倚息不能卧。
杏仁 桃仁(并麸炒,去皮尖) 桑白皮(蜜炙三度,白泔浸一宿,控干,各一两) 人参(一两)
上为细末。每服二钱,水一盏,姜三片,枣一个,煎七分,不以时。
定喘,补心肾,下气。
阿胶(一两三分,炒) 鸡 (两半) 白仙茆(半两,米泔浸三宿,晒干,炒) 团参(一分)
上为末。每服二钱,糯米饮调,空腹服。
治远年喘急,不能眠卧,百药无效者。
白石英(四两,通明者,以生绢袋盛,用雄猪肚一个,以药入线缝定,煮熟取药出,再换
猪肚一个如前法煮,三煮了,取药出控干研)
上为末,以官局款冬花散二钱,入药末二钱,更桑白皮二寸、生姜三片、枣子一个,水
一盏半,煎至七分,通口服;猪肚亦可吃,只不得用酱、醋、盐、椒、姜等调和。
治火逆,上气喘急,咽喉不利。止逆下气。
麦门冬(去心,一两一钱) 半夏(汤洗,六钱一字) 人参(一分) 甘草(炙,一分) 粳米(二钱)
上为粗散。每服四大钱,水三盏,枣二个,煎六分,去滓,空心服。
五脏都有导致上气喘促和咳嗽的病症,但肺是五脏的华盖(位于最上方,覆盖其他脏腑),全身血脉之气都取源于肺。喘证既然扰动气机,所以以肺为主要病变脏腑。患者如果在右手寸口脉“气口”以前部位的脉象表现为阴实(邪气盛实),这是手太阴肺经肺气实盛的证候。此时肺部必然胀满,出现上气喘逆、咽喉堵塞感,好像要呕吐的样子,伴有自汗,这些都是肺实证的表现;如果气口以前的脉象表现为虚象,必然会出现咽干无津液、气短不足以呼吸的症状,这乃是肺气虚弱、元气匮乏的表现。
治疗上气喘满,倚靠呼吸不能平卧。
杏仁、桃仁(都用麦麸炒制,去皮尖)、桑白皮(用蜂蜜炙烤三次,用淘米水浸泡一夜,沥干,各一两)、人参(一两)。
以上药物研成细末。每次服用二钱,用水一盏,生姜三片,大枣一个,煎至七分满,不拘时候服用。
定喘,补益心肾,降气。
阿胶(一两三分,炒制)、鸡(两半)、白仙茆(半两,用米泔水浸泡三夜,晒干,炒制)、团参(一分)。
以上药物研成粉末。每次服用二钱,用糯米饮调服,空腹服用。
治疗多年的喘急,不能睡眠平卧,各种药物无效的情况。
白石英(四两,选择通透明亮的,用生绢袋盛装,取一个雄猪肚,将药装入猪肚内并用线缝好,煮熟后取出药物,再换一个新的猪肚按前法煮,共煮三次后,取出药物沥干研粉)。
以上药物研成粉末,配合官方局方款冬花散二钱,加入药末二钱,再加桑白皮二寸、生姜三片、大枣一个,用水一盏半,煎至七分,一次性口服;猪肚也可以吃,只是不能用酱、醋、盐、花椒、姜等调料调和。
治疗火邪逆乱导致的上气喘急,咽喉不利。具有止逆降气的作用。
麦门冬(去心,一两一钱)、半夏(汤洗,六钱一字)、人参(一分)、甘草(炙,一分)、粳米(二钱)。
以上药物制成粗散。每次服用四大钱,用水三盏,大枣二个,煎至六分,滤去药渣,空腹服用。
All five zang organs can cause upper jiao asthma (asthma affecting the upper body) and coughing. However, the Lung is the canopy of the five zang organs (the highest organ covering the others), and all meridians derive their qi from the Lung. Since asthma disturbs the movement of qi, the Lung is considered the primary site of pathology. If a patient presents with an excess pulse (pulse indicating excess pathogenic factors) at the yin position before the qikou (a specific area on the radial artery used for diagnosis) on the right hand cunkou (radial pulse position), this indicates excess in the Hand-Taiyin Lung Meridian. The lungs will necessarily be distended, accompanied by upward rushing of asthma, a sensation of blockage in the throat, a feeling similar to nausea or vomiting, and spontaneous sweating; these are all manifestations of Lung Excess syndrome. Conversely, if the pulse before the qikou is deficient, it will inevitably lead to dryness of the throat without saliva, shortness of breath, and insufficient respiration; this constitutes Lung Qi deficiency and depletion of vital energy.
To treat upper jiao asthma with fullness, where the patient must lean forward to breathe and cannot lie flat.
Xingren (Apricot Seed, Semen Armeniacae Amarum) and Taoren (Peach Kernel, Semen Persicae), both stir-fried with wheat bran, skin and tips removed; Sangbaipi (Mulberry Root Bark, Cortex Mori Radicis), honey-fried three times, soaked in rice wash water overnight, then drained (each 1 liang); Renshen (Ginseng Root, Radix Ginseng) (1 liang).
Grind the above into a fine powder. Take 2 qian per dose, decoct with 1 zhan of water, 3 slices of Shengjiang (Fresh Ginger, Rhizoma Zingiberis Recens), and 1 Zao (Jujube, Fructus Jujubae) until reduced to 7/10 volume. Take at any time.
To calm asthma, tonify the Heart and Kidney, and direct rebellious qi downward.
Ejiao (Donkey-Hide Gelatin, Colla Corii Asini) (1 liang 3 qian, stir-fried); Ji (Chicken, Carnis Gallus Domesticus) (half a chicken); Baixianmao (likely referring to a specific herb, possibly Baihuangjing or similar, kept as transliteration here due to ambiguity in standard WHO list, but context implies a tonic herb) (0.5 liang, soaked in rice wash water for three nights, dried, and stir-fried); Tuanshen (Round Ginseng, Radix Ginseng) (1 fen).
Grind the above into powder. Take 2 qian per dose, mix with Nuomiyin (Sticky Rice Decoction) and take on an empty stomach.
To treat chronic severe asthma preventing sleep and lying flat, which has not responded to various medicines.
Baishiyings (White Quartz, Stalactite) (4 liang, select transparent and bright pieces, place in a raw silk bag. Use one male pig stomach, insert the medicine bag inside, sew tightly, and boil. Remove the medicine, replace with a new pig stomach, and repeat the boiling process three times. Finally, remove the medicine, drain, and grind into powder.)
Take the above powder, combine with 2 qian of Guanju Kuandonghua San (Official Bureau Winter Flower Powder, Formula based on Tussilaginis Flos), add 2 qian of the prepared powder, plus 2 cun of Sangbaipi (Mulberry Root Bark, Cortex Mori Radicis), 3 slices of Shengjiang (Fresh Ginger, Rhizoma Zingiberis Recens), and 1 Zao (Jujube, Fructus Jujubae). Decoct with 1.5 zhan of water until reduced to 7/10 volume. Drink the entire amount at once. The pig stomach may also be consumed, but do not season with soy sauce, vinegar, salt, Sichuan pepper, or ginger.
To treat fire-pathogen rebellion causing upper jiao asthma and急促 breathing, with difficulty in the throat. It stops rebellion and directs qi downward.
Maimendong (Ophiopogon Tuber, Radix Ophiopogonis) (heart/core removed, 1 liang 1 qian); Banxia (Pinellia Tuber, Rhizoma Pinelliae Ternatae) (washed with hot water, 6 qian 1 zi); Renshen (Ginseng Root, Radix Ginseng) (1 fen); Gancao (Licorice Root, Radix Glycyrrhizae uralensis) (honey-fried, 1 fen); Jingmi (Rice Grain, Semen Oryzae Sativae) (2 qian).
Grind the above into a coarse powder. Take 4 daqian per dose, decoct with 3 zhan of water and 2 Zao (Jujube, Fructus Jujubae) until reduced to 6/10 volume. Strain the dregs and take on an empty stomach.